- Idaho Division of Human Resources (Boise, ID)
- Criminal Investigator or Investigative Auditor, OAG, Criminal Law Division Posting Begin Date: 2025/10/22 Category: Criminology Sub Category: Investigative Work ... 49.06 Pay Rate Type: Hourly Description State of Idaho Opportunity Criminal Investigator or Investigative Auditor, Criminal Law Division, Office of the Attorney… more
- AmeriHealth Caritas (Columbia, SC)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... Proactively performs research using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as part of the… more
- Humana (Dayton, OH)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Adequately staff and manage the program integrity … more
- The Robison Group (Albany, NY)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... willing and able to obtain a New York Private Investigator license. + Self-motivated, determined, and intuitive. + Strong...are required to obtain their own New York private investigator license upon hire. + Must be able to… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The Employee Relations Investigator reviews and investigates all assigned employee policy violations, complaints, concerns, ... disputes, claims of harassment, discrimination, and complaints of unfair treatment...with priority given to the most egregious allegations. The Investigator will have significant interaction with Human Resources, Operations… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Program Integrity Analyst/ Investigator Associate Location: Hybrid | Eagan, Minnesota Career Area: Legal About ... will be responsible for the prospective and retrospective investigation of suspect claims and assisting in initial development of fraud, waste, abuse and… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- Centene Corporation (Columbus, OH)
- …fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare ... mining and analysis to detect aberrancies and outliers in claims + Develop new queries and reports to detect...related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical … more
- MyFlorida (Doral, FL)
- INVESTIGATOR SPECIALIST II - 79001458 Date: Dec 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865093 Agency: Business and Professional Regulations Working Title: INVESTIGATOR SPECIALIST II - 79001458 Pay Plan: Career Service Position Number:… more
- Idaho Division of Human Resources (Lewiston, ID)
- Senior Agricultural Investigator - Lewiston or Post Falls Posting Begin Date: 2025/09/09 Posting End Date: 2025/12/11 Category: Agriculture Sub Category: Natural ... The Idaho Department of Agriculture is currently recruiting for an Agriculture Investigator Senior in the division of Agriculture Resources located in Lewiston or… more